Nieves Garrastegui, Luis

Nieves Garrastegui, Luis was paid $20K by Medicaid between May 2021 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoNIEVES GARRASTEGUI, LUIS
RIO PIEDRAS, PR 00924

33aNPI1255344859assigned 08/14/2006

33bProvider typePulmonary Disease Physician

28Total paid$20K

24GClaims595

24DCodes billed9

24AFirst – last monthMay 2021 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#35 of 55

Median peer was paid$68K

This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	56	$1K
2023	272	$11K
2024incomplete	267	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	57%	116	113	$12K
94375		11%	40	37	$2K
94727		8.0%	26	25	$2K
94760		6.6%	255	244	$1K
94729		5.9%	26	25	$1K
94664		4.7%	65	62	$959.69
94726		2.6%	14	12	$531.17
94200		2.3%	26	25	$473.58
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	1.5%	27	25	$310.60

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.